AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS – NPI #1013177393
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Health Care Provider Taxonomy Code for Internal Medicine

AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1013177393 to AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS on June 11, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 7 years ago on Nov 01, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1013177393
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MEDICAL GROUP RHEUMATOLOGY SIOUX FALLS
Primary location
6100 S LOUISE AVE STE 1130
SIOUX FALLS, SD 57108-6021
Phone: (605) 504-1600 Fax:
1 Other location(s):
1301 S. Cliff Ave.
Ste. 300
Sioux Falls, SD 57105-1032
Phone: (605) 322-6625
Fax: (605) 322-6626
Mailing address
PO BOX 86370
SIOUX FALLS, SD 57118-6370
Phone: (605) 322-7510 Fax: (605) 322-6475
Organization Subpart
No
Authorized Official
DAVID FLICEK
CEO/PRESIDENT
Phone: (605) 322-8000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RR0500X
- Internal Medicine / Rheumatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.